Information Collection

Baby FACES: HOME VISITOR INTERVIEW

IC 186335 under ICR 200808-0970-003 · OMB 0970-0354.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0354 can be found here:

Documents and Forms

Document Name Document Type
Primary Cargiver-Home Visitor Interview_for OMB 8-4-08.pdf Other-interview
OMB #2 Caregiver Home Visitor Interview.9-26-08.pdf Other-Interview

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Baby FACES: HOME VISITOR INTERVIEW	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-interview			Primary Cargiver-Home Visitor Interview_for OMB 8-4-08.pdf		Yes	Yes	Fillable Fileable
Other-Interview			OMB #2 Caregiver Home Visitor Interview.9-26-08.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 270	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	270	270
Annual IC Time Burden (Hours)	203	203
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.